Organization
ANDREA GRUNBLATT PSYCHOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA GRUNBLATT (PRESIDENT)
(845) 418-5885
Entity
Organization
Contact information
Practice address
124 GREEN ST, KINGSTON, NY 12401-4422
(845) 418-8558
(845) 335-4600
Mailing address
124 GREEN ST, KINGSTON, NY 12401-4422
(845) 418-8558
(845) 335-4600
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
016158
NY
Other
Enumeration date
03/20/2012
Last updated
03/20/2012
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